Individual
ANDRISAEL GARCIA LACOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME143960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106178500
—
FL
Enumeration date
07/04/2017
Last updated
11/07/2024
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